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Organization
ACTIVE MINDS RX PLLC
Active
Organization
ACTIVE MINDS RX PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD JOHN KAZMIR NP (AUTHORIZED OFFICIAL)
(713) 816-5646
Entity
Organization
Contact information
Practice address
210 E LIVE OAK ST, HUNGERFORD, TX 77448-0135
(713) 816-5646
Mailing address
PO BOX 511, HUNGERFORD, TX 77448-0511
(713) 816-5646
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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